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Breast Biopsy
Questions about the definition, risks and results of breast biopsy.
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AskedPublicly Submitted Question
12/11/2017January 17, 2017 I had a lumpectomy for ILC....clear margins and clean lymph nodes (3 sentinel nodes taken out). 20 radiation treatments of the right breast. Last week I had my yearly diagnostic mammogram. Technique: Craniocaudal and oblique views of each breast were performed and reviewed with and without computer-aided detection. Bilateral digital breast tomosynthesis images were also obtained with reconstructions in the CC and MLO projections. Spot magnification images of the upper-outer left breast were obtained in the CC and MLO projections. A whole breast true lateral view was also performed. On the left side (left breast) within the upper outer breast approximately 4 to 5 cm deep to the nipple, there is a small new cluster of microcalcifications. On the spot magnification images, the calcifications are oval in shape and mildly amorphous with minimal pleomorphism. Calcifications are linearly arranged in the anterior to posterior direction. They were not definitely present on previous exams (2011-2017). Calcifications are present in the region of a previously identified large cystic structure which is no longer evident. Additional vascular calcifications and stable scattered punctate parenchymal microcalcifications are present on the left side. Breast Density Score C: The breasts are heterogeneously dense, which may obscure small masses. BI-RADS CATEGORY (4) SUSPICIOUS. Stereotactic biopsy of these new calcifications is recommended. MY QUESTION: Is this something that can wait until after Christmas? The radiologist said this might be a precursor (my word since I was in shock as he spoke to me) to Ductal Carcinoma. My previous cancer (JAN 2017) was lobular. I have been on Anastrozole since April 2017. Are there other tests I should ask for before a biopsy since this would be a new cancer rather than a recurrence of the lobular? I did have a previous stereotactic biopsy in 1995 in the same area that was benign.
RepliedJHU's Breast Center Reply
12/11/2017The only way to know exactly whether the calcifications are benign (not cancer) is to do a biopsy. It is most likely ok to wait 2 more weeks for the biopsy, but you should get it done soon after that.

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